Active NPI
Hannah Rose Rugg, MD
- Pediatrics Physician
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 331414
- Practice address
- 1200 S Farmerville St
Ruston, LA 71270-5941 - Phone
- (318) 251-6240
- Fax
- (318) 251-6136
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL82702 | SC | |
| Pediatrics Physician | 208000000X | 331414 | LA | Primary |
Addresses
Primary practice location
1200 S Farmerville St
Ruston, LA 71270-5941
Mailing address
Children'S Hospital Outpatient Center
14 Medical Park, Ste 400
Columbia, SC 29203
Phone (803) 434-6155
Other practice location 1
Children's Hospital Outpatient Center
14 Medical Park, Ste 400
Columbia, SC 29203
Phone (803) 434-6155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220726000254 | LA | Practitioner - Pediatric Medicine | 0244662161 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Clinic LLC
Practice addresses (Care Compare)
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Clinic LLC | Pediatrics | Current | Accepting new patients |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| Green Clinic LLC | Current | Accepting new patients | |
| CLHG-Ruston LLC | Current | Accepting new patients |
Locations
1809 Northpointe Ln
Ste 102
Ruston, LA 71270
Phone (318) 255-3762
411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453
401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100
1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103
Interoperability endpoints
- hannah.rugg.1@26990.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1578021093
-
- Physical Therapy Clinic/Center
- Ruston, LA
- NPI 1891801601
-
- Family Medicine Physician
- Ruston, LA
- NPI 1942181276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1831758630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHILDREN'S HOSPITAL OUTPATIENT CENTER",
"address_2": "14 MEDICAL PARK, STE 400",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-251-6240",
"fax_number": "318-251-6136"
}
],
"practiceLocations": [
{
"address_1": "Children's Hospital Outpatient Center",
"address_2": "14 Medical Park, Ste 400",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-6155",
"fax_number": "803-434-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGG",
"first_name": "HANNAH",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL82702",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "331414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.